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121 Wyatt Drive Lot 55Davie Countv, NC Tax Parcel Report Wednesday. January 25, 2017 O uya�AAll data Is provided as Is without warranty or guarantee of any kind either expressed or Implied including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davis, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to r'o Cly4 NC or arising out of the use or Inability to use the GIS data provided by this website. WAK1V11VG: TH15151VUT A SUKVk;Y Parcel Information �m r Parcel Number: F803OA0055 Township: Shady Grove NCPIN Number: 5870644272 Municipality: Account Number: 8301868 Census Tract: 37059-803 Listed Owner 1: RS PARKER HOMES LLC Voting Precinct: EAST SHADY GROVE Mailing Address 1: 502 HICKORY RIDGE DRIVE Planning Jurisdiction: Davie County City: GREENSBORO Zoning Class: DAVIE COUNTY R -A State: NC Zoning Overlay: Zip Code: 27409 Voluntary Ag. District: No Legal Description: LOT 55 ESSEX FARM PHASE 1 B Fire Response District: ADVANCE Assessed Acreage: 0.76 Elementary School Zone: SHADY GROVE Deed Date: 3/2016 Middle School Zone: WILLIAM ELLIS Deed Book / Page: 010121145 Soil Types: GnB2,PcB2,EnC Plat Book: 9 Flood Zone: Plat Page: 388 Watershed Overlay: DAVIE COUNTY Outbuilding & Extra Building Value: Freatures Value: Land Value: Total Market Value: Total Assessed Value: O uya�AAll data Is provided as Is without warranty or guarantee of any kind either expressed or Implied including but not limited to the Davie County, Implied warranties of merchantability or fitness for a particular use. All users of Davie County's GIS website shall hold harmless the County of Davis, North Carolina, Its agents, consultants, contractors or employees from any and all claims or causes of action due to r'o Cly4 NC or arising out of the use or Inability to use the GIS data provided by this website. OPERATION PERMIT ,.•,wze Davie'County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC 27028 Phone: 336-753-6780 Fax: 336-753-1680 Applicant: RS Parker Homes/Mary Beth Address: 121 Wyatt Drive City: Advance State/Zip: NC 27006 Phone #: (336) 407-4690 Address/Road #: Essex Farm Advance Structure: # of Bedrooms: # of People: *Water Supply: NC 27006 SINGLE FAMILY 4 PUBLIC *IP Issued by: 2140 - Nations, Robert *CA issued by: 2140 - Nations, Robert Design Flow: 4 8 0 Soil Application Rate: 0 a 5 Nitrification Field No. Drain Lines Total Trench Length: Trench Spacing: Trench Width: Aggregate Depth: For gnice use Univ *CDP File Number 191868 - 2 County ID Number: Evaluated For: NEW �'—Township: /'Property Owner: RS Parker Homes/Mary Beth Address: 502 Hickory Ridge Drive City: Greensboro State/Zip: NC 27409 111�hone #: (336) 407-4690 Subdivision: Essex Farm Phase: Lot: 55 Directions Hwy 64 East, left on Cronatzer, Essex Farm on left, past Beauchamp Rd 1 9 a 0 Sq. ft. *System Classification/Description: TYPE III G. OTHER NON-CONV. TRENCH SYSTEMS Saprolite System? O Yes ® No *Distribution Type: PUMP TO GRAVITY Pump Required? Yes No *Pre -Treatment: 4 480ft. 9 O Inches O.C. ® Feet O.C. 3 R Inches Feet inches *System Type: INFILTRATOR QUICK 4 STANDARD Installer: Frank Trasou Certification #: 27721 *EHS: 2140 - Nations, Robert Date: 05/a6/a016 Minimum Trench Depth: 3 6 Inches Minimum Soil Cover: a 4 Inches Approval Status Maximum Trench Depth: 3 6 Inches ® Approved ❑ Disapproved Maximum Soil Cover: a 4 Inches Page 1 of 4 CDP File Number 191868 - 2 Manufacturer: Shoaf STB: 760 Gallons: 1000 Date: 0 a/ a 7/ a 0 1 6 "Filter Brand: POLYLOK Dual PL -122 With Pipe Adapter ST Marker: ❑ Yes ® No nforced Tank: ❑ Yes ® No 1 Piece Tank: ❑ Yes ® No Manufacturer: Shoaf PT: 42 Gallons: 1250 Date: 0 a/ a 7/ x 0 1 6 Riser Sealed ® Yes ❑ No Riser Height: ® Yes ❑ No (Min. 6 in.) nforced Tank: ® Yes ❑ No 1 Piece Tank: ® Yes ❑ No / Pipe Size: a inch diameter Pipe Length: 4 8 feet *Schedule: Pressure Rated ® Yes ❑ No Approved fittings ® Yes ❑ No Countv ID Number: ianK Lat. rump 14111% Installer: Frank Trasou Certification #: 2771 *EHS: 2140 - Nations, Robert Date: 0 5/ a 6/ a 0 1 6 Approval Status ® Approved ❑ Disapproved Supply Line Installer: Frank Transou Certification #: 2771 *EHS: 2140 - Nations, Robert Date: 0 5/ a 6/ a 0 1 6 (Pump Type: Zoeler Installer: Frank Transou Dosing Volume: — Gal Certification #: 2771 Draw Down: Inches *EHS: 2140 - Nations, Robert *Chain: ROPE Date: 0 5/ a 6/ a 0 1 6 Valves Accessible 0 Yes ❑ No Flow Adjustment Valve ® Yes ❑ No Check -valve ® Yes ❑ No Approval Status PVC unions ® Yes ❑ No ® Approved ❑ Disapproved Vent Hole ® Yes ❑ No Anti -siphon Hole ® Yes ❑ No Page 2 of 4 CDP File Number 191868 - 2 County ID Number: NEMA 4X Box or Equivalent ® Yes ❑ No Installer: Frank Transou Box 12 inches Above Grade ® Yes ❑ NO 2771 Certification #: Box Adj. To Pump Tank ® Yes ❑ NO Conduit Sealed ® Yes ❑ NO *EHS: 2140 - Nations, Robert Pump Manually Operable ® Yes ❑ No `Activation Method: PIGGYBACK Date: 0 5/ a 6/ a 0 1 6 Alarm Audible ® Yes Alarm Visible ® Yes *Operation Permit completed Authorized State Owner/Applicant Signature: ❑ No Approval Status , ® Approved E3 Disapproved ❑ No 2140 - Nations. Robert Date of Issue: 0 5/ a 6/ a 0 1 6 This system has been installed in compliance with applicable NC General Statutes: Article 11, Chapter 130A, Rules for Sewage Treatment and Disposal, 15A NCAC 18A.1900 et. Seq., and all conditions of the Improvement Permit and Construction Authorization. This property is served by a TYPE iii G. sewage septic system. Rule .1961 requires that a Type TYPE iii G. septic system meet the following criteria: Minimum System Review By The Local Health Department: N/A Management Entity: OWNER Minimum System Inspection/Maintenance Frequency By Certified Operator: N/A Reporting Frequency By Certified Operator: N/A Rule .1961 requires that a Type IV and V septic systems designed for a home/business owner must maintain a valid contract with a public management entity with a certified operator or a private certified operator for the life of the septic system. Rule .1961 requires that Type VI septic systems designed for a home/business owner must maintain a valid contract with a public management entity with a certified operator for the life of the septic system. Rule. 1961 (2) (e) requires a contract shall be executed between the system owner and a management entity prior to the issuance of an Operation Permit for a system required to be maintained by a public or private management entity, unless the system owner and certified operator are the same. The contract shall require specific requirements for maintenance and operation, responsibilities of the owner and systems operator, provisions that the contract shall be in effect for as long as the system is in use, and other requirements for the continued proper performance of the system. It shall also be a condition of the Operation Permit that subsequent owners of the systems execute such a contract. ® Hand Drawing O Import Drawing **Site Plan/Drawing attached.** Page 3 of 4 OPERATION PERMIT Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksville NC Drawing Drawing Type: Operation Permit CDP File Number: 191868 - 2 County File Number: 27028 Date: —/—/ 0 Inch Scale: 0 Block 0 N/A Page 4 of 4 Pi P2 P3 OPERATION PERMIT Davie County Health Department 210 Hospital Street CDP File Number: P.O. Box 848 Mocksville NC 27028 County File Number: Date: / Click below to import an image from an external location: Drawing Type: Operation Permit Page 4 of 4 P1 P2 P3 Drain Field: System Final Inspection Log: Characters Remaining 4000 Septic Tank: Pump Tank: Supply Line: Pump Requirements: Electrical Equipment: P1 P2 P3 Characters Remaining 4000 Character. Remaining 4000 Chaa«er. Remaining 4000 Character. Remaining 4000 Characters Remaining 4000 --gINL w. Aail TerUAe Or 01A CM GNM Ill LM alL FA&M �wwm w a...a ne: "ww lewleor m w ur wa xs A. vwmwa R ln.e. aol. aLL 09plx /rH war ow D SOL Wmw me wasN,ee mmuRam .w W Aly wLmm a SOL KA W rw 01409 Taal l 600 Flr OMNI OOI.e0M101r TYr N/N, flle OYAM/'f 11W 1117A0 OL OOIiOm ■ OABO1O1f Oml M♦ i Ir lora nell weer uc aara alar wrr" f0 oera as sevr� eaw a wn M. .r+rwrr wm nwL P.MANIFOLD P/T 3 PIT 4 •base mop provided by dient FIELD LAYOUT AND DESIGN SK ETCH 1000 G TANKS GRAPHIC SCALE 1"=50' wTj om Rm OHNE Wkm aaE wemer Mr oleGLea SEPTIC SYSTEM LAYOUT _ ESM TARN _ roil.!�L:Ivlro:.m:.n�ck(.Eonsult�rt�, P SKETCH MAPaes aw= lolrllG IlAlel Alenew me= in Essex Farm Lot 55 Project No. 4-1773 l.-aynt for a 3 bedroom home Nov -07 FLAG FLAGGED LNE # COLOR BS -HI FS ELEVATION LINE LENGTH TSM 0.7 100.0 INSTR.1 100.7 SYSTEM 1 Red 5.70 95.0 52 2 Yellow 5.90 94.8 60 3 Orange 6.20 94.5 60 4 Yellow 6.50 94.2 64 5 Blue 7.00 93.7 64 6. Pink 7.60 93.1 70 Total 370 REPAIR 8 Pink 4.00 96.7 62 9 Blue 4.60 96.1 58 10 Red 5.10 95.6 52 11 Yellow 5.70 95.0- 48 12 Orange 6.40 94.3 30 Total 250 LINE LTAR SYSTEM INNOVATIVE LENGTH GPD/FT' TYPE TYPE DISTRIBUTION System 370 0.25 Innov chamber P. Manifold Repair 250 0.25 PANEL N/A UP Notes: TBM located top of water meter **TBM is assumed to be 100' **All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **BS and FS indicate rod readings Lhe # 1 2 3 4 5 6 Tap Sheet SYSTEM Color Elevation Length Hole Size Flow/Tao cid ' Trench Area Line LTAR RED 95.0 52 SCH 801/2 5.48 52.23 156 0.33 YELO 94.8 60 SCH 80.1/2 5.48 52.23 180 0.29 ORNG 94.5 60 SCH 80 1/2 5.48 52.23 180 0.29 YELO 94.2 64 SCH 401/2 7.11 67.77 192 0.35 BLUE 93.7 64 SCH 401/2 7.11 67.77 192 0.35 PINK 93.1 70 SCH 401/2 •7.11 67.77 210 0.32 total feet = 370 gal/min = 37.77 Des. Flow 360 Pump Run= 9.53 soil LTAR 0.25 (EZLAY Itar +50/6) 0.2625 LTAR with INNOV. 0.33333333 LTAR with INNOV.+S% 0.35 DEPARTMENT OF ENVIRONMENT -'AND NATURAL. RESOURCES DIVISION OF ENVIRONMENTAL HEALTH ON-SITE WASTgwA'CAR SECTION . SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Slider—of— PROPERTY 10 #: COUNTY: Davie OWNER: Michael Hauser Construction _ APPLICATION DATE-1-1/13107— ADDRESS: ATE_I 1/13/07ADDRESS: DATE $.VALUATED: PROPOSED FACILTIY: 4 bedroom Home PROPOSED DESTCN FLOW (.1949):480 gpd_ PROPERTY SIZE: LOCATION OF SITE: _Lot 55 PROPERTY RECORDED - WATER SUPPLY:. Private Public Well Spring Othcr EVALUAtON MEMiOD: AugerBoring E Pit Cut TYPE'OFWASTEWATER: ESewage Industrial Process. . Mixed P R . F f.1940 L N LA(YD.SC,ApE POSITION/ SI.OPl;'9e 11ORIZON DEPTH (IN.) SOIL MORPHOLOGY OTHER PROFILE -FACTORS PROFILE CLASS CLASS &I.TAR A941 STRUC'TC=, CONSISTENCEI TEXTURE. MINERALOGY .1942 SOIL WETNESS/ COLOR A943 SOIL DEPTH .p$fi SApRO CLASS ,194.4 RESTR HORIZ qq l L 24% 0.5 w SBK/Ct, SS, SP,FRIMP s53" >5r NR Ps P; 543' ,I -W SE' M F SI /CL SS; SPXP 2 L =STS 0-B W P SBK/ CL SS, SP,FR / SEXP >48" >48" NA PS PS 0.49 MM SRKIC' S.P 1SEXP L 0-11 w F GR/ CL SS, SP,FK/ SEXP >5V >54•' NA PS PS 11-34 WF SBK / CL SS. SP.FR / SEXP UW4 W F SDK /C SS, SP,FR / SEXP 4 2 s� 0-5 W P SBK/CL SS, SP.FR/SEXP >52` >SY' MA PS PS 3.44 -MM,SDK/C SS:SP.FR'/SEXP' 44-5L WF SB K I Cl. SS. SP.FR I SEXP DESCRIPTION INIIiALSYSTEht REPAIRSYSTEFt D= -R FACTORS (.1946): SITE CLASSIFICATION (.1948): PS EVALUATED BY: Overby OTHER(S) PRESENT: Available Spacc (.1945) System.Typc(s) Site LTAR COMMENTS: S01USITE EVALUATION (Continuation Sheet) DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL BEA -LTH PROPERTY M 8• DATE OF EVALUATION - COUNTY: shear` of, t� o 0 ' I L u .X940 LANDSCAPE PQSITI4Ni SLOPE % HORI'L ON DEPTH.. �•r SOEL MORPROLOGY f•1��I) OTHER PROMS FACTORS PROFILE CLASS & LTAR .i942 STRUCTURE/ TEXTURE .1941 CONAL tkNCij MINERALOGY SOIL WETNESS/ COLOR .1943 SOIL nrpn.i AM SAPRO CLASS .i944 RE,STR HO= 254Ir 0-8 WF'SBKICL 'SS NPTRISEXP i48 " 448" NA PS PS 8-33 WF SDK / C SS, SP.FR / SEXP 33.40 WF SBK / C SS, SP.FR / SEXP '40-48 WF SRIF/CL SS.SP;FR/SEXP COMMENTS: Essex Farm Lot 55 Project No. 4-1773 layout for a 3 bedroom home Pink 4.00 Nov -07 FLAG 9 Blue FLAGGED LINE # COLOR BS HI FS ELEVATION LINE LENGTH TBM 0.7 95.6 100.0 11 INSTR.1 100.7 5.70 95.0 48 SYSTEM Orange 6.40 94.3 1 Red 5.70 95.0 52 2 Yellow 5.90 94.8 60 3 Orange 6.20 94.5 60 4 Yellow 6.50 94.2 64 5 Blue 7.00 93.7 64 6 Pink 7.60 93.1 70 LPP Total 370 REPAIR 8 Pink 4.00 96.7 62 9 Blue 4.60 96.1 58 10 Red 5.10 95.6 52 11 Yellow 5.70 95.0 48 12 Orange 6.40 94.3 30 Total 250 LINE LTAR SYSTEM INNOVATIVE LENGTH GPD/FT' TYPE TYPE DISTRIBUTION * System 370 0.25 Imov chamber P. Manifold Repair 250 0.25 PANEL N/A LPP Notes: ** TBM located top of water meter **TBM is assumed to be 100' **All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **BS and FS indicate rod readings Tap Sheet SYSTEM Line # Color Elevation Length Hole Size Flow/Tap gpd . Trench Area Line LTAR 1 RED 95.0 52 SCH 801/2 2 YELO 94.8 60 SCH 801/2 3 ORNG 94.5 60 SCH 801/2 4 YELO 94.2 64 SCH 401/2 5 BLUE 93.7 64 SCH 401/2 6 PINK 93.1 70 SCH 401/2 total feet = 370 gal/min = 67.77 Des. Flow 360 37.77 Pump Run= 9.53 soil LTAR 0.25 (EZLAY Itar +50/6) 0.2625 LTAR with INNOV. 0.33333333 LTAR with INNOV.+5% 0.35 5.48 52.23 156 0.33 5.48 52.23 180 0.29 5.48 52.23 180 0.29 7.11 67.77 192 0.35 7.11 67.77 192 0.35 7.11 67.77 210 0.32 37.77 APPLICATION FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC Davie County Environmental Health P A 1 P.O. Box 848/210 Hospital Street 1'� Mocksville, NC 27028 D01 ' (336)753-6780/ Fax (336) 753-1680 �Veab , A _ ite Evaluation/Improvement Permit Authorization To Construct(ATC) C Both Type of Application: New System --Repair to Existing System=Expansion/Modification of Existing System or Facility ***LIlPORTANT*** THIS APPLICATION CANNOTBE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION Name to be Billed RS Pa f I � Ler Nom-eS Contact Person r� Billing Address Oa Are there any easements or right-of-ways on the site? idC (� r Home Phone. �© City/State/ZIP _ 6 t WQ _ 7CY S t C n Business Phone l�1�� Name on Permit/ATC if Different than Above M Mailing Address Citv/State/Zin Uorners t lagged e Plan EPlat(to scale) Number 1341, If the answer to any of the following questions is "yes", supporting documentation must be attached. Are there any existing wastewater systems on the site? --- Yes o Does the site contain jurisdictional wetlands? 7Yes Are there any easements or right-of-ways on the site? ❑Yesgo Is the site subject to approval by another public agency? =Yes Will wastewater other than domestic sewage be generated? 2Yes IF RESIDENCE FILL OUT THE BOX BELOW # People # Bedrooms # Bathrooms Garden Tub/Whirlpool;6(es �No Basement: --Yes o Basement Plum int*: oYes.>No IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building # People # Sinks # Commodes # Showers # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: Xonventional EAccepted CInnovative CAltemative LOther Water Supply Type:xcounty/City Water ❑ New Well --Existing Well E Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? 7 Yes If yes, what type? �No This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if the information submitted in this application is falsified or changed I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am responsible for the proper identification and labeling of property lines and comers and t aflt�ao' Q or sta ing ou e/ cility location, proposed well location and the location of any other amenities. o o� ner epresentative signature Site Revisit Charge �i Client Notification Date: Date EHS: Sign given -Yes -No Account # Revised 11/06 Invoice # Cofm PB f2. Pr- 42 GRAPHIC SCALE 40 0 !0 N 0 M ( IN I!= ) 1 Inch - 40 1i NOTE: SURVEYOR HAS MADE NO INVESTIGATION OR INDEPENDENT SEARCH FOR EASEMENTS OF RECORD. ENCUMBRANCES. RESTRICTIVE. COVENANTS. OWNERSHIP. TITLE EVIDENCE. OR ANY OTHER FACTS THAT AN ACCURATE AND CURRENT TITLE SEARCH MAY DISCLOSE. THIS SURVEY IS PERFORMED WITHOUT THE BENEFIT OF A TITLE SEARCH. NOTICE: RS PARKER HOMES HAS VERIFIED TO AWED LAND SURVEYING COMPANY. P.A. THE EXTERIOR HOUSE DIMENSIONS FOR THIS EXISTING HOUSE/STRUCRIRE. HOUSE POINTS AND POSITION SHOWN ON THIS MAP REPRESENT THE POINTS TO BE PLACED ON THE PROPERTY. THE OWNER/CONTRACTOR HAS RENEWED ALL HOUSE/STRUCTURE DIMENSIONS. SETBACKS FROM PROPERTY LINES. AND COMPLIANCE WITH RESTRICTIVE COVENANTS AND/OR LOCAL GOVERNMENTAL REQUIREMENTS ON THIS DRAWING AND BY THEIR SIGNATURE AUTHORIZES AWED LAND SURVEYING COMPANY. P.A. TO PLACE THE POINTS AS ACCURATELY AS IS REASONABLE (TYPICALLY 0.02'*). OWNER/CONTRACTOR TO VERIFY THE PLACEMENT OF POINTS SET IN FIELD PRIOR TO AUTHORIZATION OF FOOTINGS/BRICK MASONS/ CONSTRUCTION TO PROCEED. BY SIGNING THIS STATEMENT OWNER/ CONTRACTOR FULLY ACCEPTS THEIR RESPONSIBILITY TD VVEFn" POINTS IN FIELD. THE HOUSE POINTS DENOTED EIY SOLID FILLED CIRCLES ARE THE ONLY POINTS TO BE LOCATED IN THE FIELD. ALL OVER BUILDING CORNER LOCATIONS ARE TO BE THE RESPONSIBILITY OF THE UNDERSIGNED CONTRACTOR/IDEVEL.OPER. FIELD RENSION: OWNER/CONTRACTOR OWNER/CONTRACTOR/AWED STAFF DATE: DATE: PRELIMINARY LAYOUT LOT 55, ESSEX FARM PHASE I—B, revised Plat Book 12, Page 42 Plat for. RS Parker Homes ALS PROJECT 11-527 NOTE: THIS PLAT DOES NOT REPRESENT A CURRENT FIELD SURVEY. ALL LOT DIMENSIONS HAVE BEEN TAKEN FROM THE PLAT OF ESSEX PLACE. PHASE 18. LOCATED IN PLAT BOOK 12 PAGE 42. NO TITLE RESEARCH HAS BEEN PERFORMED OR REQUESTED FOR THE BENt}TT OF THIS PLAT. C IMPROVEMENT PERMIT Davie County Health Department 210 Hospital Street P.O. Box 848 Mocksvilie NC 27028 Ph 4 336 2753 6780 F • 336 753 1680 For Office Use Oniv 'CDP File Number 191868.1 County ID Number. Evaluated For: NEW Township: W"191- . ax. PERMIT VALID UNTIL: 4/16/2020 *NOTE TO INSPECTIONS DIVISION: Building Pennits cannot be issued with this Improvement Permit. Applicant: PSC Development Cor, Address: PO Box 340 City: : Mlocksvilie StatefZip NC 27028 Phone #: (336) 751-7300 ddress/Road #: Essex Farm Advance NC 27006 Structure: SINGLE FAMILY # of Bedrooms: 4 # of People: "Water Supply: PUBLIC : PS LPP Saprolite System? QYes QNo D . FI W Property Owner: PSC Development Cor, Address: PO Box 340 Cty: Mlocksvilie State/Zip: NC 27028 Phone #: (336) 751-7300 Subdivision: Essex Farm eslgn ow. 4 8 0 Soil Application Rate: 0 a 5 u *System Classification/Description: TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION *Proposed System: 50% REDUCTION Phase: Lot: 55 Directions Hwy 64 East, left on Cronatzer, Essex Farm on left, past Beauchamp Rd Minimum Trench Depth: a 8 Inches Maximum Trench Depth: a 8 Inches Septic Tank: 1 5 0 0 Gallons 1 -Piece: QYes QNo Pump Required: tYes ON o Q May Be Required Pump Tank: 1 5 0 0 Gallons 1 -Piece: QYes QNo Repair System Required:QYes ONo ONO, but has Available Space Repair System .Site Classification: PS LPP Soil Application Rate:. 0 a 5 "System Classification/Description: TYPE IV A. ANY SYSTEM WITH LPP DISTRIBUTION *Proposed System: 50% REDUCTION Minimum Trench Depth: a 8 Inches Maximum Trench Depth: a 8 Inches Pump Required: Cr}Yes Q No Q May be Required Page 1 of 3 CDP File Number 191868-1 *Site Modifications County ID Number: ❑ Open Fill Sheet No grading or construction activity is allowed in areas designated for system and repair without approval of Health Department. a "Permit Conditions The issuance of this permit bythe Health Department in no way guarantees the issuance of other permits. The permit holder is responsible for checking with appropriate goveming bodies in meeting their requirements. The layout of this septic system has been designed by Soil & Environmental Consultants, PA. See Page 3 for the design. All design criteria can be picked up at Davie Env. Health. The house sizes and exact location on the site must not exceed the design dimensions as specified in the design layout. Site Plan The Improvement Permit shall be valid for 5 years from date of Issue with a site plan (means a drawing not necessarily drawn to scale that shows the existing and proposed property lines with dimensions, the location of thefaciiity and appurtenances, the site forthe proposed Wastewater system, and the location of water supplies and surfacewaters). Plat The Improvement Permit shall be valid without expiration with plat (means a property surveyed prepared by a registered land surveyor, drawn to a scale of one inch equals no morethan 60 feet, that Includes: the specific location of the proposed facility O and appurtenances. the site for the proposed Wastewater system, and the location of water supplies and surface waters. Plat also means, for subdivision lots approved by the local planning authority and recorded with the county register of deeds, a copy of the recorded subdivisions plat that Is accompanied by a site plan that Is drawn to scale). The Department and Local Health Department may Impose conditions on the issuance and may revoke the permits for failure of the system to satisfy the conditions, the rules, or this article This permit Is subject to revocation if the site pian, plat, or Intended use changes (NCGS 130A -335(t)). The person owning or controlling the system shall be responsible for assuring compliance with the laws, rules, and permit conditions regarding system location, Installation, operation, maintenance; monitoring, reporting, and repair (A 938(b)) Applicant/Legal Reps. Signature Required? Oyes ONo Applicant/Legal Reps. Signature: Date: *issued By: 2140 - Nations, Robert Date of Issue: 0 4 / 1 6 / a 0 1 5 OValid without Expiration? Authorized State Agent: t.`'^� ��7 0Create CA? OHand Drawing (Dlmport Drawing **Site Plan/Drawing attached.** Page 2 of 3 IMPROVEMENT PERMIT 191868-1 Davie County Health Department CDP File Number: 210 Hospital Street P.O. Box 848 County File Number: Mocksville NC 27028 Date: Q Inch Drawing Drawing Type: Improvement Permit Scale:. QBlock Q N/A ft. -E-E: . . . ... ... .. .. . ...... . .. ......... n...._ n ..so -MOft MR r=Ww MOW RNwf am ILL COR WL M7MOL OIrIMML or 7f COMM MW fIMIMIfM w O w0 N MR Mfl M W OIWONwf f/�•w.OwL w OQWM OLLf= MwwM Ifo OIL D WL V WMW AD "O"W f � fs MM Owl f700w 0w 0 WL O ff M OMdf Orf UK wv� ff "M OMMMOOIff tw Nrff Of MOf/7 f01 wow► f OOIMMMO OI OOOwri Dw OM re w f Mol rfrOef wL wO' OOI wf M fit Oi AOC. IMI OMMI IOM OR UOf. r...wwrr+7m q.L P.MANIFOLD P/7- 3 PIT 4 *base mop provided by client FIELD LAYOUT AND DESIGN SKETCH PIT 1 1000 G TANKS GRAPHIC SCALE 1 0) = 507 w cs�lc row aMc awn 6 ae ralawir 7MM 7wrMw Soil & Environmental Consultants, PA >: SEPTIC syww LAYOUT _ ESM FARM _ 0_0. • Nrr OOOOOF'00! ■ a. QM 7f•}OO .SKETCH MAP MO[ IfMK Mff OMfOlO Lf L Vi IL ft a SC M C._,* W,* MRF mama A M REPAIR 8 Pink Essex Farm Lot 55 96.7 62 9 Blue Project No. 4-1773 96.1 58 layont for a 3 bedroom home 5.10 95.6 Nov -07 11 FLAG 5.70 95.0 FLAGGED LNE # COLOR BS HI FS ELEVATION LINE LENGTH TSM 0.7 100.0 250 IN5TR.1 LINE LTAR SYSTEM 100.7 LENGTH GPD/171' TYPE SYSTEM DISTRIBUTION 1 Red 5.70 95.0 52 2 Yellow 5.90 94.8 60 3 Orange 6.20 94.5 60 4 Yellow 6.50 94.2 64 5 Blue 7.00 93.7 64 6 Pink 7.60 93.1 70 **Nitrification lines are demonstrated on contour via colored pin flags Total 370 REPAIR 8 Pink 4.00 96.7 62 9 Blue 4.60 96.1 58 10 Red 5.10 95.6 52 11 Yellow 5.70 95.0 48 12 Orange 6.40 94.3 30 Total 250 LINE LTAR SYSTEM INNOVATIVE LENGTH GPD/171' TYPE TYPE DISTRIBUTION System 370 0.25 Innov chamber P. Manifold Repair 250 0.25 PANEL N/A LPP Notes: ** TBM located top of water meter **TBM is assumed to be 100' *All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **BS and FS indicate rod readings Tap Sheet SYSTEM Line # Color Elevation Length Hole Size Flow/Tao gg_d Trench Area Line LTAR 1 RED 95.0 52 SCH 80 1/2 5.48 52.23 156 0.33 2 YELO 94.8 60 SCH 801/2 5.48 52.23 180 0.29 3 ORNG 94.5 60 SCH 801/2 5.48 52.23 180 0.29 4 YELO 94.2 64 SCH 401/2 7.11 67.77 192 0.35 5 BLUE 93.7 64 SCH 40 1/2 7.11 67.77 192 0.35 6 PINK 93.1 70 SCH 40 1/2 7.11 67.77 210 0.32 total feet = 370 gm/min = 37.77 Des. Flow 360 Pump Run= 9.53 soil LTAR 0.25 (EZLAY Itar +5%) 0.2625 LTAR with INNOV. 0.33333333 LTAR with INNOV.+S% 0.35 DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DIVISION OF ENVIRONMENTAL HEALTH ON-SITE WASTEWATER SECTION SOIL/SITE EVALUATION for ON-SITE WASTEWATER SYSTEM Sheer —of T PROPERTY 1D N: COUNTY: Davie OWNER: Michael Hauser Construction _ APPLICATION DATE_11/13/07 ADDRESS: DATE EVALUATED. PROPOSED FACILITY: 4 bedroom Home PROPOSED DESIGN FLOW (.1949):480 gpd_ PROPERTY SUX-: LOCATION OF SITE: _Lot 55 PROPERTY RECORDED: WATER SUPPLY:. Private Public 3Well Spring Other EVALUATION METHOD: Auger Boring B Pit Cut TYPE OF WASTEWATER: E'Sewage, Industrial Process Mixed P R r I L N .1940 LAND;iCAPE POSITION/ SLOPE % HORIZON DEPTH (IN') SOIL MORPHOLOGY (.1941) OTHER PROFILE FACTORS PROTILC CLASS & LTAR .1941 STRIICTC M, TEXTURE .1941 CONSISTENCFI MINERALOGY 1942 SOIL W=-Tr—SS/ COLOR .1943 SOIL DEPTH ,1956 SAPRO CLASS ,1944 RESTR HORIZ q 1 L 15% 0.5 W F SBKf CL SS, SP,FR/SEXP :,Sy. >Sr NA PS PSS 5.53 M F SDK/CL SS. SFXR/ SERF 2 L 2576 0-B WF S&WCL SS, SP.FR / SEXP >18" >49" NA PS PS 8.48 MM SBK/C' S.P;FI/SEXP L 2.57. 0-11 W F GR/ CL SS. SP.FR / SEXP >54" >54" NA PS PS 11-34 WF SEK / CL SS. SP.FR / SEXP 34.54 WF SDK/C SS, SP.FR/SEXP 256 0-5 wFSBK/CL SY,5PFR/SF.XP >521, >52" NAPS PS 5-4s MM SDK/C SS.SP.FRYSEXP 44 -SZ W F SDK I CL SS. SP.FR / SEXP DESCRIMON 1Nn*1AL SYSTEM REPAIR SYSTEM OTHER FACTORS (.1946): SITE CLASSIFICATION (.1948): PS EVALUATED BY: Overby OTFIER(S) PRESENT-. Availablo Spacc (.1945) SystcmType(s) Site LTAR SOlUSITE EVALUATION (Continuation Sheer) DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES DMSION OF ENVIRONMENTAL HEALTH PROPERTY M #' DATE OF EVALUATION: COUNTY: Shea` of P o F 1 L p .1940 LANDSCAPE POSITION/ SLOPE % IiORIL oIy D=H (IN.) SOH. MORPHOLOGY (.1942) OTHER PROFILE FACTORS PROFILE CLASS & LTAR .1941 STRUCTURFJ TEXTURE .1941 CONSISTSNCv MINERALOGY 1941 SOIL WETNESS/ COLOR .1943 SOIL D>r .I AM SAPRO CLASS .1944 RESTR HORIZ 2-5% 0-8 W F SBKICL SS NP.FR/SEXP S48" >48" NA PS PS N•33 WF SDK / C SS, SP.FR / SEXP 33.40 WF SBK / C SS, SP.FR / SEXP 4048 WFSOKtCL ss, SEWRISEXP COMMENTS: ---- Essex Farm Lot 55 Project No. 4-1773 layout for a 3 bedroom home Pink 4.00 Nov -07 FLAG 9 Blue FLAGGED LINE # COLOR BS HI FS ELEVATION LINE LENGTH TBM 0.7 95.6 100.0 11 INSTR. 1 100.7 5.70 95.0 48 SYSTEM Orange 6.40 94.3 1 Red 5.70 95.0 52 2 Yellow 5.90 94.8 60 3 Orange 6.20 94.5 60 4 Yellow 6.50 94.2 64 5 Blue 7.00 93.7 64 6 Pink 7.60 93.1 70 UP Total 370 REPAIR 8 Pink 4.00 96.7 62 9 Blue 4.60 96.1 58 10 Red 5.10 95.6 52 11 Yellow 5.70 95.0 48 12 Orange 6.40 94.3 30 Total 250 LINE LTAR SYSTEM INNOVATIVE LENGTH GPD/FT' TYPE TYPE DISTRIBUTION * System 370 0.25 Innov chamber P. Manifold Repair 250 0.25 PANEL N/A UP Notes: ** TBM located top of water meter **TBM is assumed to be 100' **All measures in feet **Nitrification lines are demonstrated on contour via colored pin flags **BS and FS indicate rod readings Tap Sheet SYSTEM Line # Color Elevation Length Hole Size Flow/Tat) gL . Trench Area Line LTAR 1 RED 95.0 52 SCH 801/2 5.48 52.23 156 0.33 2 YELO 94.8 60 SCH 80 1/2 5.48 52.23 180 0.29 3 ORNG 94.5 60 SCH 80 1/2 5.48 52.23 180 0.29 4 YELO 94.2 64 SCH 40 1/2 7.11 67.77 192 0.35 5 BLUE 93.7 64 SCH 401/2 7.11 67.77 192 0.35 6 PINK 93.1 70 SCH 40 1/2 7.11 67.77 210 0.32 total feet = 370 gaVmin = 37.77 Des. Flow 360 Pump Run= 9.53 soil LTAR 0.25 (EZLAY Itar +5%) 0.2625 LTAR with INNOV. 0.33333333 LTAR with INNOV.+5% 0.35 Davie County Environmental Health P.O. Box'848/210 Hospital Street Mocksville, NC 27028 (336)751-8760/ Fax (336)751-8786 Account #: 990004425 IMPROVEMENT PEI TDIN/EH #: 5870-64-2265.55 Billed To: PSC Development Corp. Inc. Subdivision Info: Essex Farm Lot # 55 Address: PO Box 340 Location/Address: Cornatzer Rd -27006 City: Mocksville Property Size: See Map Reference Name: Brad Coe Proposed Facility: Residence **NOTE**This Improvement Permit DOES NOT authorize the construction of a wastewater system. An Authorization To Construct a was system must be obtained from this office prior to the construction/installation of a wastewater system or the issuance of a building permit(in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems). This Improvement Permit is subject to revocation if site plans, plat or the intended use change. Permit Type: ❑New ❑Repair ❑Expansion Permit Valid for: 05 Years ❑No Expiration Residential Specifications: # Bedrooms # Bathrooms # People Basement❑ Basement plumbing❑ Non -Residential Specifications: Facility Type # People # Seats_ Square Footage(or Dimensions of Facility) Design Flow(GPD): Site Modifications/Permit Conditions.: Site Plan Type of Water Supply: ❑County/City ❑Well ❑CommunityWell System Type LTAR Initial Repair Environmental Health Specialist: :.n_nr Date MIII■L N 4r ►ONnY MWII MMMI■0a L■ ►1►f i I►f MrL �R! IIM Mi L1 M I"o KIOMiAOr r1.ca.r IO. ELLiIIO�■O'MM S c1[ MIX ra M3iff /f no1"00100480L�►►MAM M6 11011II OILSWI. OrIND SOL r►aiI1V M C16►11[ O'10 Mea A r110 OML■OGMr /LY MW MIL' 04lil1Y wx MO►► i O mon ■►80101f mOII ►I! IV 1GLYLI rw IoeLY ut incl MIDI Mr LGL M]rR 1101 MIGOI. AMI S IMS P.MANIFOLD P/7- 3 PIT 4 *base map provided by client FIELD LAYOUT AND DESIGN SKETCH PIT 1 1000 G TANKS GRAPHIC SCALE 1" = 50' IIIIIIIt somisso IIIIINI uIIINIIIIN III I� Ig wr a EMU RW DA\c cowly IJc CM fgO1R'I Mo RIIYR'r1i FI SEP11C SYSTEM LAYOUT & Soil & Environmental Consultants, PA R MAP. _ sic FAN _ M.R ■ n... 09WML" r SKETCH ■►Ic c►Lr1K Rant eManA LL.�� C a► LONOW QL s1c a ■ C._,& w.w a..r. IOORGI ►L =7 6 I� f �^_ APPLIC I FOR SITE EVALUATION/IMPROVEMENT PERMIT & ATC, 1 Davie County Environmental Health (/�/ AUO 2 3 2001 P.O. Box 848/210 Hospital Street Mocksville, NC 27028 n I HFA�SH (336)751-8760/ Fax (336)751-8786 {�pphcrati'o1n Si valuation/Improvement Permit ❑ Authorization To Construct(ATC) ❑ Both —_—Type'oT Application: ❑New System ❑Repair to Existing System ❑Expansion/Modification of Existing System or Facility * * *IMPORTANT* * *THIS APPLICATION CANNOT BE PROCESSED UNLESS ALL OF THE REQUIRED INFORMATION IS PROVIDED. Refer to the INFORMATION BULLETIN for instructions. APPLICANT INFORMATION 73 Name to be Billed ASC T Contact Person %o'RRY &f 7t 4;Z Billing Address A-6 . &x 3f0 Home Phone City/State/ZIP Z 702 8 Business Phone 7S/ - 73oo Name on Permit/ATC if Different than Mailing Address PROPERTY INFORMATION *Date House/Facility Comers Flagged NOTE: A survey plat or site plan must accompany this application. Included: O Site Plan RPlat(to scale) (Permit is valid for 60 months with site plan, no expiration with complete plat.) Owner's Name A5-- />r'VEcoPrsSi�i c�� i�G Phone Number 75'1 -'73--10 Owner's Address City/State/Zip^?_7"s Property Address City Lot Size Tax PIN# Subdivision Name(if ap licable)ES = I)irections To S C S — Sectiio�ot# 2 ft t Gf '�` 041 0 till S b' li/ f the answer to any of the following Iluestionslis "yes", supporting documentatio must be adfiched. Are there any existing wastewater systems on the site? Does the site contain jurisdictional wetlands? Are there any easements or right-of-ways on the site? Is the site subject to approval by another public agency? ❑Yes BNpp ❑Yes 20 [Kes 0 N Dyes 01�� Will wastewater other than domestic sewage be generated? Dyes Cd1Vo IF RESIDENCE FILL OUT THE BOX BELOW # People # Bedrooms -� # Bathrooms Garden Tub/Whirlpool Dyes ❑No Basement: Dyes ❑No Basement Plumbing: Dyes ❑No IF NON -RESIDENCE FILL OUT THE BOX BELOW Type of Facility/Business Total Square Footage of Building # People # Sinks # Commodes # Showers # Urinals Estimated Water Usage (gallons per day) (Attach documentation of similar facility water consumption) FOODSERVICE ONLY: # Seats Type system requested: Conventional ❑Accepted ❑Innovative ❑Alternative ❑Other Water Supply Type: County/City Water ❑ New Well ❑Existing Well ❑ Community Well Do you anticipate additions or expansions of the facility this system is intended to serve? ❑ Yes If yes, what type? ❑ No This is to certify that the information provided on this application is true and correct to the best of my knowledge. I understand that any permit(s) or ATC(s) issued hereafter are subject to suspension or revocation if the site is altered, the intended use changes, or if the information submitted in this application is falsified or changed I hereby grant right of entry to the Authorized Representative of the Davie County Health Department to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am responsible for the proper identification and labeling of property lines and comers and locating an ging or staking the house/facility location, proposed well location and the location of any other amenities. Site Revisit Charge Prope r s or o er's legal representa ' re Date(s): 7Client Notification Date: Date EHS: Sign given Dyes ❑No Revised 11/06 Account # Invoice # DAVIE COUNTY HEALTH DEPARTMENT Environmental Health Section Soil/ Site Evaluation APPLIA NT INFORMATION Tax PIN/EH #: 58 70--b`4= MJNFORMATION Billed 'To: PSC Development Corp. Inc. Subdivision Info: Essex Farm Lot # 55 Reference Name: Brad Coe Location/Address: Cornatzer Rd -27006 Proposed Facility: Residence Property Size: 0.760 A. Date Evaluated: Water Supply: • On -Site Well Community Evaluation By: Auger Boring Pit_ / Public Cut FACTORS ;a LI R (i 3 4 5 6 7 Landsca e position. ®L )_- Slope % HORIZON I DEPTH .— "140 - (� Texture group C C Consistence (- Structure Ir Mineralogy :b oc) HORIZON II DEPTH f. - q Texture groupC Consistence P T7 T Structure k Mineralogy HORIZON III DEPTH Texture group Consistence c Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: In5m LONG-TERM ACCEPTANCE RATE: REMARKS: EVALUATION BY: P\06 OTHER(S) PRESENT: C+] LEGEND Lnndscane Position R - Ridge S - Shoulder L - Linear slope FS - Foot slope N - Nose slope CC - Concave slope CV - Convex slope T - Terrace FP - Flood plain H - Head slope Texture S - Sand LS - Loamy sand SL - Sandy loam L - Loam SI - Silt SICL - Silty clay loam SIL - Silty loam CL - Clay loam SCL - Sandy clay loam SC - Sandy clay SIC - Silty clay C - Clay 1►� Ci1�1 VFR - Very friable FR - Friable FI - Firm VFI - Very firm EFI - Extremely firm MYet NS - Non sticky SS - Slightly sticky . S -Sticky , VS -Very Sticky NP - Non plastic SP - Slightly plastic P - Plastic VP - Very plastic Structure SC - Single grain M - Massive CR - Crumb GR - Granular ABK - Angular blocky SBK - Subangular blocky PL - Platy PR -Prismatic 0-S ✓1 r -- Mineralogy 1:1, 2:1, Mixed lYQte� Horizon depth - In inches Depth of fill - In inches Restrictive horizor;,- Thickness and inches from land surface Saprolite - S(suitAje), U(unsuitable) Soil wetness - Inches from land sur ace to free water or inches from land surface to soil colors with chroma 2 or less Classification - S(sui[able), PS(pr4i5ionally suitable), U(unsuitable) LTAR - Long-term acceptance rat 'Ii gal/day/ft2 DCHD 05/05 (Revised) r xi a A. -41 _ ,a " t � ,G v, 04 .Stt�T P s a Pdnted:Apr 02, 2016 N d.W. mom. 1. mww 0 w www+bed, W Wo.0-wm—Wa`npWk k.igWm r. s bat hVWdW n*'- amwerw,uniero.rs.e.b.,a�,jo"wa M. of D�W Ca"yo CIS web." Mid hams. tlw Canty of Da .NoM C.dim. Roam. cawnwm. earache« emoc,s km aM. wdam ac of m»b"N%kV and Of wa Yubiny LC�. I* w the WS &W Wa"bed bydne we.pe. / I J` /' w 1 t' •• •I SM MAX %favT ' — LL i 12 13 r 7 1 y. i f TEWP. DNERSION DITCH (TY p,) _ SEF DETAIL SH££T so, PdC � r �� WAX am QW av i+.aa `sm. sus i 9+»a t oms br: ,#cam Wx zav Ir �- ROCK DOW UT - •J�' SEE j f, X51 Ir 54 af8A11 36 ' 1 4000, d 3 ROWSAU sal { i NJ AND ROCK aW16 ( r \ \ \ \ \ NI Ile t Lam," "M MLMmew"# awasMa ILL MMwL.Mot lMwOt w It MW MMw MMIMW.O A lw w W M MM1 .Mw w�itAowa�Mx MY win "L,OM,IMMMM11dMllliw�iMna r00ow MMMM wlw a 9MMMM MMIaR iw M wMM MR MS L 1.1MAfr WtMMN.M wMU S wsMw q was Iwl ��w/1��wLtlt �f{�Ir MN�R IMS{ UI INw r +M.qw SMA MIw E P.MANIFOLD P/7- 3 •y ; PIT 4 FIELD LAYOUT AND DESIGN -SKETCH 100 Wase map provided by dient 477- �),1' PIT 1 J 55 53 h•h 1000 G TANKS lib � � Li-Z•� �r � � J, ti s GRAPHIC SCALE 1"=50' 50 0 50 / 100 R � NW �YIE OOMfK � =mum iw Room R NLAYOUT - t�eE7t FNM1- $Oii+tw � t1V�1^+OwnwMrnir�s t . C011 � fQn tS, PILI wswwtw�rarww► �rr�w at:7 f6z,Kac,,-x —fzt/ L > ) ,r .......... •' ttEALli{,t;10 NATURAL RESOURCES SLOPE 'ri .1940 - -- -. . _ Coaeistatco GIVLSIOJI t�F FtlVitiONtREt1TAL HEALTH Consistence PROPERTY RECORDED Structure OGt-JITE4YASTE%-LATER SECTION i tORiZON 3 DEPTH � Todurs Group .1941 A SITEISOIL EVALUATION .1941 Strucdxe .1.941(Al FOR 21411(P .. atzo IORIZON 44 DEPTH } ON-SITE WASTE WATER 3lJg�l� �f3a �L31, Cam"tance. .1941 ",'.: APPItCi.l`Ji: _2 S I t PHONE: APPLICATION DATE: *.`-ADDRESS' • _ COUNTY: PROPERTY SIZE: _ PROPOSED FACILTIY: i n s�, LOCATION OF SITE: El � WATER SUPPLY: On -Site Wel Conxstu ti Pub6q Other EVALUATION BY. Auger Boring Pit Cut FACTORS R >i3 _PROFILES $ R JWOSCAPE POSITION ) .1940 SLOPE 'ri .1940 -40RIZON 1 DEPTH Coaeistatco Texture Group -1941(Al Consistence .1941 Structure .1941(AN •IORIZON 2 DEPTH Texture Group .1941(A Coaeistatco .1941 ' Structure .'1941(Al r Mlneralo -1941(Al i tORiZON 3 DEPTH Todurs Group .1941 A Cake .1941 Strucdxe .1.941(Al Min !m!aff .1941(All IORIZON 44 DEPTH `Texture Group.1941 A Cam"tance. .1941 ngalogy 1.1941 WETNESS I 1S 1 e-ZK 1'0—(e 10- 4 0-1Z 1a - 4,10 -3 O- ct, I c -L- • I C- 1 c� sf- ;NG TERM CEPTANCE RATE -1955 23:r MILABLE SPACE (.1945): SITE LONG TERM 1 1 ci- �lm a��Ron ®LR°F�i1►+7� WE sf- ;NG TERM CEPTANCE RATE -1955 23:r MILABLE SPACE (.1945): SITE LONG TERM 1 1 ci- �lm •�wn1cu oT: Yl f t,KLt�� _ s OTHERS PRESENT: 3MMEN'TS: i= ' Y f a��Ron ®LR°F�i1►+7� •�wn1cu oT: Yl f t,KLt�� _ s OTHERS PRESENT: 3MMEN'TS: i= ' Y f i.; PEAt.11i itao NATUR.1l Hc50u�\CEs PROPERTY RECORDED of Erw► iaivtaEUTru f tEALTH ONvITF vjAS� EVJATER SECTI,0N SITE/SOIL EVALUATION ' FOR ON-SITE WASTE WATER APPLICANT: � � � PHONE: APPLICATION DATE: t ADDRESS' - ADDREY: • PROPERTY SIZE: PROPOSED FACILTIY: COUNT f LOCATION OF SITE: -f:dA'S"'('►'L WATER SUPPLY: On -Site Well Community Public Other !:1/ALUATION BY: Auger 8oriny Pit Cut FACTORS PROFILES ., 13 1 14 1 1 S 1 IB 1 17 1 '8 19 1 -.0 LANDSCAPE POSITION 1 .1940 SLOPE N .1940 -tORIZON 1 DEPTH 8-4 0^ 12 O - 3 D " 14 0-31 0-(0 o-6 0 - o -46 0—CP Texture Group .1941 A l C+S AP GL C L cl- cL CL_ [ L cL Consistence .1941 S Structure .1941 A 1MM.r- SO 5B. S8 I'dinera .1941 A & 40RIZON 2 DEPTH 1'L 1 Z- /' ' - 6 / - ZITexture Grou .1941 A l c C_consistenco .1941 �T � W-0fr _FStructure- A941 A Mln 1941 A I:i , �iORIZON 3 DEPTH 1�� Z&r " If� 0- Zsf — - 21 - - Texture .1941(A)(1 G .1941 a -6 Structure '' .1941 A S $ $ S A-8 ►.r�4 $ �,a 1-Mineralogy.1941 A/ IORIZON 4 DEPTH i Texture Group ,1941 A 1 •t� 1 Conslstenee, .1'941 p; e0 1 Klcr IVE HORIZON .1944 'APROLITE .1943/.1 LASSIFICATION .1948 :)NG TERM .1955 •ZSr • • I. , ZS . 2.v :`; . LSJ , Z76', ZS CCEPTANCE RATE ,ZZS� '1 JAIL.ABLE SPACE .1945: SITE LONG TERM THER FACTORS .19 ACCEPTANCE RATE: TE CLASSIFICATION .1948 • SYSTEM TYPE. - )ALL YPE:)ALUATED BY (S OTHERS PRESENT: 71 -1It1ENTS: iA t Tj MEALIHANONATURAL RESOURCES ••"• �••• OIVMIOII l7F E!I` MONIAVITAL IMALT11 PROPERTY RECORDEO�� OII-SITE %,'lASTELVATER SECTION SiTE/SOIL EVALUATION FOR ON-SITE WASTE WATER APPLtCF. IT: � P�/l�i� PHONE: APPLICATION DATE: ADDRESS: _ COUNTr PROPERTY SIZE: PROPOSED FACILTIY: f LOCATION OF SITE: S'.1.s2�'�►r. S3 -- Sto WATER SUPPLY: On -Sits Well Cortxnur+ity Public Other EVALUATION BY: Auger Boring Pk Cut FACTORS PROFILES 21 2 3 4 5 B 7 8 9 10 -LASSIFICATION :)Nd TERM ^CEPTANCE RATE JAILABLE SPACE (.1 TE CLASSIFICATION (.1 .194 1 .1948 .1555 LONG TERM EPTAHCE RATE /ALUATED BY: (1 (�..y,,,(_�'Z� A A 6 LSA - OTHERS PRES NT- ]I.SL4ENTS: SLOPE TextL" Group Consistence Structure Taxtum Group Consistence ��s��ie■��® mkwalbgy iORIMZON. -41 �__�__�_� -LASSIFICATION :)Nd TERM ^CEPTANCE RATE JAILABLE SPACE (.1 TE CLASSIFICATION (.1 .194 1 .1948 .1555 LONG TERM EPTAHCE RATE /ALUATED BY: (1 (�..y,,,(_�'Z� A A 6 LSA - OTHERS PRES NT- ]I.SL4ENTS: